Hepatorenal syndrome physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Hepatorenal syndromeHRS does not have specific clinical findings.However patient has reflect the underlying advanced liver disease, renal impairment, and circulatory abnormalities present. | |||
==Physical Examination== | ==Physical Examination== | ||
Patients with type 1 HRS have worse clinical picture than patients with type 2 HRS. | |||
==== constitutional disturbances: ==== | |||
* Weakness | |||
* Fatigue | |||
* Anorexia | |||
* Poor nutritional status | |||
====Skin==== | ====Skin==== | ||
* [[Pallor]] | * [[Pallor]] | ||
| Line 17: | Line 26: | ||
* [[Abdominal distension]] | * [[Abdominal distension]] | ||
* [[Shifting dullness]]: Dull sound in the belly area when tapped with the tips of the fingers - indicates presence of fluid | * [[Shifting dullness]]: Dull sound in the belly area when tapped with the tips of the fingers - indicates presence of fluid | ||
* Hepatomegaly | |||
* Stigmata of portal hypertension{ gastroesophageal varices, caput medusa, hepatic encephalopathy } | |||
* Gynaecomastia | |||
* Spider naevi | |||
====Genitals==== | ====Genitals==== | ||
* [[Small testicles]] | * [[Small testicles]] | ||
* Oliguria | |||
====Extremities==== | ====Extremities==== | ||
* [[Pedal edema]] | * [[Pedal edema]] | ||
* [[Involuntary jerky movements]] | * [[Involuntary jerky movements]] | ||
* Finger clubbing | |||
* Palmar erythema | |||
* | |||
====Neurologic==== | ====Neurologic==== | ||
* Abnormal reflexes | * Abnormal reflexes | ||
* [[Confusion]] on neurologic testing | * [[Confusion]] on neurologic testing | ||
==== Cariovascular: ==== | |||
* Hyperdynamic circulation | |||
* Reduced systemic vascular resistance | |||
* Low MAP, | |||
* Low jugular venous pressure | |||
* Tachycardia | |||
* Bounding pulse | |||
* Wide pulse pressure | |||
==References== | ==References== | ||
Revision as of 17:16, 5 December 2017
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Hepatorenal syndrome Microchapters |
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Hepatorenal syndrome physical examination On the Web |
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American Roentgen Ray Society Images of Hepatorenal syndrome physical examination |
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Risk calculators and risk factors for Hepatorenal syndrome physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sunny Kumar MD [2]
Overview
Hepatorenal syndromeHRS does not have specific clinical findings.However patient has reflect the underlying advanced liver disease, renal impairment, and circulatory abnormalities present.
Physical Examination
Patients with type 1 HRS have worse clinical picture than patients with type 2 HRS.
constitutional disturbances:
- Weakness
- Fatigue
- Anorexia
- Poor nutritional status
Skin
Abdomen
- Abdominal distension
- Shifting dullness: Dull sound in the belly area when tapped with the tips of the fingers - indicates presence of fluid
- Hepatomegaly
- Stigmata of portal hypertension{ gastroesophageal varices, caput medusa, hepatic encephalopathy }
- Gynaecomastia
- Spider naevi
Genitals
- Small testicles
- Oliguria
Extremities
- Pedal edema
- Involuntary jerky movements
- Finger clubbing
- Palmar erythema
Neurologic
- Abnormal reflexes
- Confusion on neurologic testing
Cariovascular:
- Hyperdynamic circulation
- Reduced systemic vascular resistance
- Low MAP,
- Low jugular venous pressure
- Tachycardia
- Bounding pulse
- Wide pulse pressure